| Doctor Name: | MS. LISA K SPERRY |
| NPI Number: | 1174625529 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A., CCC-SLP |
| License Number: | SL009361 |
| Business Practice Address: | 1717 W 10th St Austin, TX - 787033907 |
| Business Phone Number: | 5124723142 |
| Business Fax Number: | |
| Mailing Address: | 3816 S Lamar Blvd Apt 2013, AUSTIN |
| State: | TX |
| Postal Code: | 787047951 |
| Phone Number: | 2672652696 |
| Fax Number: | |
| NPI Enumeration Date: | 09/05/2006 |
| NPI Last Update Date: | 03/15/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SL009361 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |